How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $34.67 | Facility | None | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $34.67 Typical High $42.66 | Professional | None | $33.88 | $34.67 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $151.36 | Facility | None | $134.90 | $147.91 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $79.43 | Professional | None | $35.48 | $44.67 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $54.95 | Facility | None | $44.67 | $44.67 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $44.67 | Professional | None | $38.02 | $38.02 | $44.67 |
Denver HMP Setting Facility Modifier None Typical Low $34.67 Median $69.18 Typical High $97.72 | Facility | None | $34.67 | $69.18 | $97.72 |
Denver HMP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $134.90 | Professional | None | $60.26 | $91.20 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $147.91 | Facility | None | $70.79 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $104.71 | Professional | None | $67.61 | $74.13 | $104.71 |
United Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $77.62 | Professional | None | $32.36 | $32.36 | $77.62 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $5.13 Typical High $7.41 | Professional | 55 · Aftercare only | $5.13 | $5.13 | $7.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.39 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.39 | $3.39 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $42.66 Typical High $77.62 | Professional | RR · Rental | $4.27 | $42.66 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $34.67 | Professional | UE · Used equipment | $31.62 | $31.62 | $34.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Where Colorado sits
The same service costs 2.5 times more in Wyoming than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 49th of 51
$38.02
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.